I have been doing well on Remeron (45mg- highest dose) that I have been taking since September but lately have felt the depression coming back a bit - not the full blown clinical depression with the crying and unable to concentrate that I have had - but enough to where I can feel it, to where I don't have the motivation I once did. I come home from work and just lie around..clean a bit..but other than that..have no motivation. I try to walk every day on my morning, lunch and afternoon breaks at work..and that has been helping with anxiety..but not much with the depression.
A few months ago, when I went to see the Psychiatrist and told her I have been feeling down, she advised that she felt the Remeron was still working (because I didn't have difficulty concentrating, did not have thoughts of harming myself, crying spells and was able to function and go to work). She said she wanted to add another medication to "supplement" the Remeron..and I am wondering if anyone is on two medications. I am a bit apprehensive to be on two medications, because I am not quite understanding if one medication stops working, how will I know which one? Then I would have to stop taking both medications and have to go through withdrawal effects from two meds. Just thinking about all this is causing me great anxiety..and I know I need to have more faith instead of the "what ifs" and trust the Psychiatrist.
I tried all the SSRI's and did not have positive results. Remeron is the only medication that has worked for me - other than weight gain, I was very lucky to not have side effects on it. She then gave me two choices.."Wellbutrin or Effexor" and I am wondering why only those two choices. I am wondering if Psychiatrists get paid commissions for these two medications. I am just curious as to why she didn't offer any of the older tricyclics as another choice. I am curious if anyone is on Remeron (Mirtzapine) as well as on another medication? Once I get on health insurance (one more month) will talk to her to see if I can have some other choices besides two very expensive medications. I called the Pharmacy today and Wellbutrin costs $125.00! Yikes! Thanks for listening.